Hi there!

How have you been?

We have been asked weight loss medication at our clinic. We know someone really need it.

We would like to post the information. If you are interested in it, please see below.

MEDICATION for WEIGHT LOSS

For confirmation: Your BMI should be over 25.

①　No Medical history below.

* Diabetes 

* Hormone issues ( Personal or family history of MEN 2, a condition that causes endocrine gland tumors, and history of thyroid cancer)

* Gallbladder disease  

* Serious bowel issues

 * Have or have had pancreatitis

* Having surgery

* Kidney disease

* Stomach or intestine problems, such as problems digesting food

* An unusual or allergic reaction to tirzepatide, other medications, foods, dyes, or preservatives

* Pregnant or trying to get pregnant  

* Breastfeeding

* Having much alcohol

② You might not be able to take the medication when you have below.

If you take medicine below, please let us know.

* Antiviral medications for HIV or AIDS　　　　

* Aspirin and aspirin-like medications

* Beta blockers, such as atenolol, metoprolol, propranolol　　　　 　　　

* Warfarin

* Certain medications for blood pressure, heart disease, irregular heartbeat

* Chromium            * Clonidine             * Diuretics

* Estrogen or progestin hormones          * Steroid medications, such as prednisone

* Male hormones or anabolic steroids      * Fenofibrate         * Gemfibrozil

* Guanethidine　　   * Isoniazid          * Lanreotide

* MAOIs, such as Marplan, Nardil, and Parnate

* Medications for weight loss　　 * Medications for allergies, asthma, cold, or cough

* Medications for depression, anxiety, or mental health conditions

* Niacin              * Nicotine

* NSAIDs, medications for pain and inflammation, such as ibuprofen or naproxen

* Other medications for diabetes, such as glyburide, glipizide, or glimepiride

* Pentamidine           * Phenytoin          * Probenecid           * Reserpine

* Quinolone antibiotics, such as ciprofloxacin, levofloxacin, ofloxacin

* Sulfamethoxazole; trimethoprim             * Some herbal dietary supplements

About side effects

 Side effects that you should tell us as soon as possible:

* Allergic reactions—skin rash, itching, hives, swelling of the face, lips, tongue, or throat

* Change in vision

* Dehydration—increased thirst, dry mouth, feeling faint or lightheaded, headache, dark yellow or brown urine

* Fast or irregular heartbeat

* Gallbladder problems—severe stomach pain, nausea, vomiting, fever

* Kidney injury—decrease in the amount of urine, swelling of the ankles, hands, or feet

* Pancreatitis—severe stomach pain that spreads to your back or gets worse after eating or when touched, fever, nausea, vomiting

* Thyroid cancer—new mass or lump in the neck, pain or trouble swallowing, trouble breathing, hoarseness

 Side effects that usually do not require medical attention:

* Constipation     * Diarrhea      * Loss of appetite     * Nausea     

* Upset stomach

 Please understand that you can not use Japanese health insurance if you need treatment for side effect.

【How to proceed to get the medication】

STEP 1:

① First consultation

② Check Height and Weight

③ Blood test

If you have had the test in 1 month, you do not need to take it and　show it.

④ A doctor might ask to have counseling with a nutritionist.

⑤ Order medication

⑥ The payment includes medicines.

⑦ Please pick them up. A nurse explains how to take the shot.

STEP 2: Refill

① Please order by email. Please let us know about the dosages and how many shots/pills you need.

② We will ask about the payment by bank transfer.(Credit card)

③ When we confirm your payment, we will prepare the medication.

④ Please pick them up.

When you come to our clinic, we check your body weight as well.

 * We do not provide an online consultation now.

   Need doctor’s consultation (ask for blood tests) every 6 months.

  However, if you would like to have doctor’s consultation, please feel free to ask us.

 【FEE LISTS】

If you are from overseas and need the certificate of the medicine for immigration, please ask us.The fee is 5000 JPY.

Please understand we charge the prescription (handling) fee when we prescribe the medicines.

You can get them for maximum 6 months.

Please feel free to ask us if you have questions.